A case of inguinal endometriosis developed after cesarean delivery

In: European Journal of Therapeutics · 2015 · vol. 21(4) , pp. 268–270 · doi:10.5578/gmj.10818 · W4385974841
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This case report details a rare instance of inguinal endometriosis developing five years after a cesarean section in a 28-year-old woman.

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This paper is a case report of a 28-year-old woman who developed inguinal endometriosis 5 years after a cesarean delivery, focusing on the rarely seen extrapelvic presentation in the inguinal pouch/canal region. The authors describe the clinical course and evaluate this unusual form of inguinal endometriosis in the context of prior literature, including how it can mimic other inguinal pathologies such as hernias or tumors. A key limitation is that, as a single case report, the findings cannot establish prevalence, risk magnitude, or definitive causality. This paper is centrally about endometriosis — specifically inguinal (extraperitoneal) endometriosis developing after cesarean delivery, with direct relevance to endometriosis in extrapelvic sites.

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Abstract

Endometriosis is defi ned as the existence of endometrial tissue outside the uterus. It is commonly localized to the adjacent pelvic viscera and the peritoneum in women particularly during the reproductive term. It may also be present in the inguinal pouch or canal after gynecological operations and cesarean section. We report an unusual case of a 28-year-old woman who developed an inguinal endometriosis 5 years after a cesarean section. The purpose of this case report was to evaluate this rarely seen inguinal endometriosis and thus, make some contribution to the literature.
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A case of inguinal endometriosis developed after cesarean delivery DOI: https://doi.org/10.5578/GMJ.10818Keywords: Cesarean scar, surgical treatment, hernia, inguinal tumour, extrapelvic endometriosisAbstract Endometriosis is defi ned as the existence of endometrial tissue outside the uterus. It is commonly localized to the adjacent pelvic viscera and the peritoneum in women particularly during the reproductive term. It may also be present in the inguinal pouch or canal after gynecological operations and cesarean section. We report an unusual case of a 28-year-old woman who developed an inguinal endometriosis 5 years after a cesarean section. The purpose of this case report was to evaluate this rarely seen inguinal endometriosis and thus, make some contribution to the literature. References Kapan M, Kapan S, Durgun AV, Goksoy E. Inguinal endometriosis. Arch Gynecol Obstet 2005;271(1):76-8. Licheri S, Pisano G, Erdas E, Ledda S, Casu B, Cherchi MV, et al. Endometriosis of the round ligament: description of a clinical case and review of the literature. Hernia 2005;9(3):294-7. Hagiwara Y, Hatori M, Moriya T, Terada Y, Yaegashi N, Ehara S, et al. Inguinal endometriosis attaching to the round ligament. Australas Radiol 2007;51(1):91-4. Miranda L, Settembre A, Capasso P, Piccolboni D, De Rosa N, Corcione F. Inguinal endometriosis or irreducible hernia? A diffi cult preoperative diagnosis. Hernia 2001;5(1):47-9. Kirkpatrick A, Reed CM, Bui-Mansfi eld LT, Russel MJ, Whitford W. Endometriosis of the canal of Nuck. AJR Am J Roentgenol 2006;186(1):56-7. Apostolidis S, Michalopoulos A, Papavramidis TS, Papadopoulos VN, Paramythiotis D, Harlaftis N. Inguinal endometriosis: three cases and literature review. South Med J 2009;102(2):206-7. Candiani GB, Vercellini P, Fedele L, Vendola N, Carinelli S, Scaglione V. Inguinal endometriosis: pathogenetic and clinical implications. Obstet Gynecol 1991;78(2):191-4. Seli E, Berkkanoglu M, Arici A. Pathogenesis of endometriosis. Obstet Gynecol Clin North Am 2003;30(1):41–61. Wong WS, Lim CE, Luo X. Inguinal endometriosis: an uncommon differential diagnosis as an inguinal tumour. ISRN Obstet Gynecol 2011;2011:272159. Kiyak G, Ergul E, Sarikaya SM, Yazgan A. Endometriosis of the groin hernia sac: report of a case and review of the literature. Hernia 2010;14(2):215-7. Foster DC, Stern JL, Buscema J, Rock JA, Woodruff JD. Pleural and parenchymal pulmonary endometriosis. Obstet Gynecol 1981;58(5):552-6. Woodward PJ, Sohaey R, Mezzetti TP Jr. Endometriosis: radiologic-pathologic correlation. Radiographics 2001;21(1):193- 216. Low RS, Jones AO, Houang M, Newland L, Morey AL, Chan-Ling T. Endometriosis of the inguinal region: magnetic resonance imaging (MRI) fi ndings. Australas Radiol 2007;51 (Suppl):B272-5. Pérez-Seoane C, Vargas J, de Agustín P. Endometriosis in an inguinal crural hernia. Diagnosis by fi ne needle aspiration biopsy. Acta Cytol 1991;35(3):350-2. Raffaelli R, Piazzola E, Zanconato G, Fedel L. A rare case of extrauterine adenosarcoma arising in endometriosis of the rectovaginal septum. Fertil Steril 2004;81(4):1142-4. Downloads Published How to Cite Issue Section License Copyright (c) 2023 European Journal of Therapeutics This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. The content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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